System for Ophthalmic Dispensing by Clifford W. Brooks

By Clifford W. Brooks

Approach for Ophthalmic shelling out presents a step by step device for studying ophthalmic shelling out: how one can healthy and alter frames and the fundamental rules of ophthalmic lenses. This revision of the vintage textual content comprises new fabric on multifocals, excessive index lenses, aspherics, innovative addition and absorptive lenses, in addition to useful info on new body fabrics and comparable adjustments in how frames are adjusted. New chapters contain: Prism and lodging at close to; Lens fabrics and protecting Eyewear; and designated Lens Designs.

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Example text

Most instruments have an occlusion system, which allows for individual monocular measurements, with each eye fi xating alternately in cases of strabismus. A well-designed PD measuring instrument should rest against the bridge of the subject’s nose exactly as a frame would. This most accurately approximates the way the glasses will position themselves. It should also position the measuring plane at the approximate spectacle plane. The subject will see a ring of white or colored light around a dark, central dot within the instrument.

To use the three-quarter rule, begin by the finding the dioptric demand. Dioptric demand is the reciprocal of the working distance in meters. 25 meters. 25 meters 36 Ophthalmic Dispensing P A R T O N E Next, to find the inset per eye, the dioptric demand is multiplied by 3/4. 3 × 4 = 3 mm per eye 4 The other way to find the near PD would be to use the three-quarter rule. 75. 625 mm per lens Thus the near PD will be Now the near PD is Distance PD − (segment inset × 2) Or 64 − 6 or 58 mm. This means that a prescription for a person with a bifocal add and a 25 cm working distance should have the distance optical centers set for a far PD of 64 mm and the segments set for a near PD of 58 mm.

Because of the possibility of unequal monocular PDs, segment inset is usually specified individually for each eye. Ordinarily segment inset is the difference between the distance PD and the near PD, divided by 2: Segment Inset = (distance PD) − (near PD) 2 For example, if the distance PD is 68 and the near PD is 64, then the segment (seg) inset for each eye is 2 mm. Where inequality of the monocular PDs exists, this rule may result in errors, since both eyes may not be required to converge equal angular amounts for near fi xation.

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